Skip to main content

Research Repository

Advanced Search

Understanding implementation of maternal acute illness management education by measuring capability, opportunity and motivation : a mixed methods study in a low-income country

Byrne-Davis, LM; Byrne, GJ; Jackson, MJ; Abio, A; McCarthy, R; Slattery, H

Understanding implementation of maternal acute illness management education by measuring capability, opportunity and motivation : a mixed methods study in a low-income country Thumbnail


Authors

LM Byrne-Davis

GJ Byrne

MJ Jackson

A Abio

R McCarthy

H Slattery



Abstract

A major cause of maternal death in low-income countries is a lack of adequate healthcare. The dominant approach to improving care involves continuing professional development but little is known about their impact on practice. Less still is known about the determinants of practice change and barriers to implementation. This study investigated the implementation of an acute illness management course on Ugandan health professionals’ practice and determinants of practice change. Before and after training, 51 nurses, midwives, doctors and clinical officers completed tests of knowledge. Immediately post-course and 1-month later, participants completed questions assessing intention to change practice, practice and determinants of change. Post course, participants took part in focus groups. Post-course, participants reported that they were capable and were motivated to use their knowledge and skills in practice and a lower belief in opportunity to change practice. Behavioural intention was very high and behaviour 1 month later was statistically significantly lower. Three themes emerged: 1) systematic approach changing clinical practice, 2) inter-professional communication, and 3) barriers and facilitators to implementation. Educators should consider behaviour change determinants as important assessments of outcome because they provide crucial implementation of training into practice.

Citation

Byrne-Davis, L., Byrne, G., Jackson, M., Abio, A., McCarthy, R., & Slattery, H. (2016). Understanding implementation of maternal acute illness management education by measuring capability, opportunity and motivation : a mixed methods study in a low-income country. Journal of Nursing Education and Practice, 6(3), 59-70. https://doi.org/10.5430/jnep.v6n3p59

Journal Article Type Article
Acceptance Date Oct 28, 2015
Online Publication Date Nov 24, 2015
Publication Date Jan 1, 2016
Deposit Date Nov 30, 2015
Publicly Available Date Apr 5, 2016
Journal Journal of Nursing Education and Practice
Print ISSN 1925-4040
Electronic ISSN 1925-4059
Publisher Sciedu Press
Volume 6
Issue 3
Pages 59-70
DOI https://doi.org/10.5430/jnep.v6n3p59
Publisher URL http://dx.doi.org/10.5430/jnep.v6n3p59
Related Public URLs http://www.sciedupress.com/journal/index.php/jnep
Additional Information Funders : Greater Manchester Critical Skills Institure;Health Education England

Files





Downloadable Citations